• Title/Summary/Keyword: Blood pressure

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A Study on Plasma Renin Activity in Essential Hypertension (본태성고혈압(本態性高血壓)에서의 혈장(血漿) Renin 활성(活性)에 관(關)한 연구(硏究))

  • Choe, Kang-Won;Lee, Jung-Sang;Cho, Bo-Yeon;Koh, Chang-Soon;Lee, Mun-Ho
    • The Korean Journal of Nuclear Medicine
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    • v.9 no.1
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    • pp.21-29
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    • 1975
  • Radioimmunoassay for the measurement of plasma renin activity (PRA) was performed in 43 normal Koreans and 45 patients with essential hypertension. Plasma samples were drawn in supine position in the morning and after upright posture for 4 hours. Urinary sodium excretion rates were measured in the concurrent 24 hour urine samples, as an index of their sodium balance. The results were as follows: 1. There was an inverse correlation between 24hr sodium excretion and PRA. The normal values of PRA in supine position ranged from 1.0 to 7.0 ng/ml/hr. when 24 hour sodium excretion were between 50 to 150 mEq. PRA in elderly tended to be low. 2. When stimulated by 4 hour upright posture, PRA increased by 2.6 times from the baseline value. 3. Of the 45 patients with essential hypertension, PRA was low in 10 cases (22.2%), normal in 28 cases (62.2%), and high in 7 cases (15.6%). 4. In the normal and high renin groups, who tended to be younger in ages, mean diastolic blood pressure and BUN were higher than in low renin group. Though hypertensive retinopathy and left ventricular hypertrophy in ECG were more prevalent in the former, no significant differences were noted as in the case of serum cholesterol. 5. There were 8 cases of cardiovascular complications (7 with cerebral vascular accident, 1 with myocardial infarction); 3 in low renin group (30%), 2 in normal renin (7.1%) and 3 in high renin group (42.9%). This figure indicated higher rate of cardiovascular complications in high renin groups, and lower rate in normal renin group. But the incidence of the complication was not significantly low in low renin group.

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Exposure and Health Risk Assessment of Lead Workers using Monte-Carlo Simulation (납 취급 근로자의 Monte-Carlo simulation을 이용한 노출 및 건강위해성평가)

  • Yeom, Jung Ho;Gwon, Keun Sang;Lee, Ju-Hyoung;Jeong, Joo-Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.2
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    • pp.110-122
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    • 2006
  • Objective : This study was conducted to quantify chronic lead exposure from various media(ie. working environment, food, ambient air), and to certify the usefulness of exposure assessment using Monte-Carlo simulation in the fields of occupational health. Methods : Data were obtained from Korean Industrial Health Association, Korea Food and Drug Administration, and the Ministry of Environment. Then lead worker's exposure was estimated indirectly from various media and parameters (ie. volume inhaled, body weight, dietary intake, etc.). Uncertainty was analyzed by Monte Carlo simulation with Crystal Ball software. Exposure doses and hazard indices were simulated with various hypothetical scenarios including weekly working hours and respiratory protective equipment. Results : Without respiratory protective equipment, the total exposure dose per kilogram of body weight of lead workers was estimated as $5.45{\times}10^{-3}mg/kg/day$, and hazard index was estimated as 2.26, and exposure contributions were calculated as follows : working environment(82.42 %); foods(17.57 %); and ambient air(0.01 %). But, if working condition has changed - reduction of working hours and using respiratory protective equipment, the total exposure dose per kilogram of body weight was estimated between $1.34{\times}10^{-3}-1.49{\times}10^{-3}mg/kg/day$, and hazard index was estimated between 0.56 - 0.62. Conclusions : This study suggested that occurrence of hazardous impact(ie. increased blood pressure) through lifetime lead exposure would be expected, and that the Monte-Carlo simulation was useful for the fields of occupational health.

A Study on Factors Related to Recovery from Cerebrovascular Accidents (뇌졸중의 회복에 영향을 미치는 요인에 관한 연구 -한방병원 입원환자를 중심으로-)

  • 최봉순;박명희;정영미
    • Korean Journal of Community Nutrition
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    • v.2 no.4
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    • pp.539-546
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    • 1997
  • This study was designed to investigate factors related to recovery from cerebrovascular accidents(CVA). Medical charts of 100 CVA patients(40 males and 60 females) who had been treated at Bul-Guang hospital in Teagu from June to December 1994 were reviewed to assess their recovery from CVA. Not only types of CVA, blood pressure and serum cholesterol and triglyceride were factors affecting recovery from CVA, but also smoking and drinking status and food preference seemed to be important factors. The percentages of recovered patients were higher in the order of cerebral thrombosis(83.3$\%$), subarachnoid hemorrhage(57.1$\%$), cerebral embolism(50.0$\%$), and cerebral hemorrhage(26.7$\%$). Recovery rates of patients with serum cholesterol below 200mg/dl, 200-239mg/dl, over 240mg/dl were 81.8$\%$, 66.6$\%$, and 16.6$\%$ respectively. Recovery rates of patients with serum triglyceride below 160mg/dl, 160-209mg/dl, and oover 210mg/dl were 84.6%, 72.8$\%$, and 35.7$\%$ respectively. Patients with standard weight recovered better than those with overweight or obesity. Recovery rates of underweight, standard weight, overweight and obesity patients were 73.3$\%$, 85.7$\%$, 45.8$\%$, and 31.6$\%$ respectively. Smoking and drinking seemed to be important factors which inhibited recovery from CVA. Patients preferring spiced foods were recovered better than those preferring salty or pungent foods. (Korean J Community Nutrition 2(4) : 539-546, 1997)

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Associations between Physical Disorders and Suicidal Ideation in Elders (노인의 신체질환과 자살사고 간의 연관성)

  • Park, Cheol;Kang, Hee-Ju;Lee, Ju-Yeon;Kim, Seon-Young;Bae, Kyung-Yeol;Kim, Sung-Wan;Kim, Jae-Min;Shin, Il-Seon;Yoon, Jin-Sang
    • Anxiety and mood
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    • v.10 no.1
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    • pp.24-29
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    • 2014
  • Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident suicidal ideation in a community dwelling older population aged 65 years or over. Methods : 1204 people aged 65 years or over evaluated at baseline. Suicidal ideation was identified using the questions from the community version of the Geriatric Mental State Schedule ("GMS B3"). Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were depression, age, gender, years of education, accommodation status, past occupation, and current occupation. Of 1066 without suicidal ideation at baseline, 805 (76%) were followed 2 years later, and incident suicidal ideation was evaluated. Results : Prevalent suicidal ideation was significantly associated with 4 of 11 physical disorders: eyesight problems, persistent cough, heart disease and paralysis or weakness in one leg or arm. Incident suicidal ideation was associated with 3 physical disorders: asthma, high blood pressure and paralysis or weakness in one leg or arm. Both prevalent and incident suicidal ideation were significantly associated with increased number of physical disorders. Conclusions : Certain physical disorders were comorbid and precipitating factors of suicidal ideation in elders. And appropriate intervention and treatment of physical disorders might prevent suicidal ideation in elderly.

Risk Factors for Hip Fracture among the Elderly (노인들의 고관절골절 위험요인에 관한 환자-대조군 연구)

  • Kim, Yong-Kwon;Cho, Young-Ha
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.25-36
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    • 2002
  • Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

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Effects of Silver Spike Point Low Frequency Electrical Stimulation on Alteration of $Na^+$, $K^+$ and $Ca^{2+}$ Ions (은침점전기자극이 $Na^+$, $K^+$ 이온과 $Ca^{2+}$ 이온변동에 미치는 효과)

  • Chon, Ki-Young;Kim, Jung-Hwan;Kim, Soon-Hee;Min, Kyung-Ok
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.158-169
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    • 2003
  • The present study examined that in vivo test is investigated in sham-operated(control group) and aldosterone-analogue deoxycorticosterone acetate (DOCA)-salt hypertensive animals(experimental group) and that the antihypertensive effect was induced by silver spike point(SSP) low frequency electrical stimulation at meridian points(CV-3, -4, Ki-12, SP-6, LR-3, BL-25, -28, -32, -52), specifically, such as diuretic action in 24 hour urine analysis from normal volunteer. The $Na^+$ and $Ca^{2+}$ ions were significantly increased in aldosterone-analogue DOCA-salt hypertensive rats than that in sham-operated rats. However, the $K^+$ ions were significantly decreased in aldosterone-analogue DOCA-salt hypertensive rats than that in sham-operated rats. The current of 1 Hz continue type of SSP low frequency electrical stimulation significantly increased in excretion of urine $Na^+$ and $K^+$ ions from normal volunteer. However, the excretion of $Ca^{2+}$ ion were significantly decreased by SSP electrical stimulation in volunteer. These results suggest that the development of aldosterone analogue-DOCA-salt hypertension is associated with changed $Na^+$, $K^+$ and $Ca^{2+}$ ions of urine. which directly affects blood pressure. Therefore, the hypertension is a risk factor on cardiovascular disease. Moreover, These results demonstrate that the SSP low frequency electrical stimulation, especially current of 1 Hz continue type, significantly regulates $Na^+$, $Ca^{2+}$ and $K^+$ ions from volunteer. Therefore, the SSP low frequency electrical stimulation is a good regulator through a diuretic action of aldosterone-induced hypertension.

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A Study on the Optimal Clothing Weight in an Air Conditioned Office in Summer (여름철 냉방실내의 적정착의량에 관한 연구)

  • Kim Sun Young;Lee Soon Won
    • Journal of the Korean Society of Clothing and Textiles
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    • v.9 no.3
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    • pp.45-51
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    • 1985
  • The purpose of this study is to research into the thermal condition and the weight of clothes suitable for the officers engagged in light works in an air-conditioned room in summer. The Major findings are as follows: 1. Thermal conditions of the working environment are $24.5^{\circ}C$ (Dry bulb temp.), $68\%$ (Relative humidity) and 2.6m/sec (Air Velocity). 2. Total clothing weights are 416.6 g/$m^2$ (male) and 340.9 g/$m^2$ (female). Underwear weights are 96.8g/$m^2$ (male) and 85.1g/$m^2$ (female). The latter turned out to be statistically significant in Sexual difference. 3. Means of the thermal sensation are 3.0 (comfortable; male) 2.7 ('Slightly cool' -'Comfortable'; female) and the relationship between clothing weights and thermal sensation proves to be significantly correlated in the case of female. 4. $66.7\%$ of the women and $37.1\%$ of the men feel sensation of coldness at the body's specific area and $79.5\%$ of the women and $54.3\%$ of the men reveals air-conditioning disturbance. 5. As the thermal sensation is close to 'cool-cold', sensation of coldness or air conditioning disturbance are showed up more frequently which is reversely related with weight of under-wear. It is also proved that air conditioning disturbances are influenced by sexual difference in addition to sensation of coldness and thermal sensation. 6. According to the result of experiment, we can have the idea that at condition $X_1$, the drop of limbs' skin temp. is remarkable. At condition $X_2$ skin temp. for distal limbs and mean skin temp. are raised and the falling degree is similar. At condition $X_3$, mean skin temp. and distal skin temp. are remarkably raised, and the falling degree decreases and the beats of pulse rate increase and diastoric blood pressure is lowered.

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An implementation of NDIR type $CO_2$ gas sample chamber and measuring hardware for capnograph system in consideration of the time response characteristics (시간응답특성을 고려한 2광원 1센서 방식의 capnograph 시스템용 NDIR식 $CO_2$ 가스 챔버 설계 및 측정 회로의 구현)

  • Park, I.Y.;Lee, I.K.;Lee, S.K.;Kang, K.M.;Kang, S.W.;Cho, J.H.
    • Journal of Sensor Science and Technology
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    • v.10 no.5
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    • pp.279-285
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    • 2001
  • The capnograph system for determining the partial pressure of carbon dioxide in the blood of a patient was developed based on the NDIR(non-dispersive infrared) absorption technology. NDIR gas analyzing method requires an optical absorption chamber and signal processing hardware. In this paper, we have designed and implemented NDIR type $CO_2$ gas chamber in consideration of the time response characteristics and lamp chopping frequency. And we have implemented signal processing hardware using two infrared sources to reduce the thermal background effect. The implemented gas chamber and signal processing hardware were tested in the temperature variation experiment and human expiratory experiment. The results showed that the system could produce a stable output signal and a good $CO_2$ gas concentration curve like a typical capnogram.

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Analysis of Dietary Intake Status and Risk of Metabolic Syndrome According to White Rice Consumption in Korea: Basted on Data 1st (1998), 4th (2007~2009), 6th (2013) Korean National Health and Nutrition Examination Survey (KNHANES) (백미밥의 섭취에 따른 영양과 식품 섭취 실태 및 대사증후군 위험수준: 1기(1998), 4기(2007~2009), 6기(2013) 국민건강영양조사 자료를 이용하여)

  • Song, Fang-Fang;Jang, Jin-A;Kim, Yang-suk;Yoon, Hei-ryeo;Cho, Mi-Sook
    • Journal of the Korean Society of Food Culture
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    • v.30 no.5
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    • pp.682-694
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    • 2015
  • The purpose of this research was to investigate the relationship between white rice consumption and dietary intake, the risk of metabolic syndrome in Korean based on $1^{st}$ (1998), $4^{th}$ (2007~2009), $6^{th}$ (2013) KNHANES. This study included 25,799 subjects who were age 10 or over. Three groups(low, medium, high) were divided according to white rice consumption (per day). In the low group, the meat and oil intake were significantly higher than the high group. In the $1^{st}$ survey year, the BMI, waist circumstances, hypertriglyceridemia and fasting blood glucose in the high group were higher than other groups, however the $4^{th}$ and $6^{th}$ survey year showed no significant results. In the $1^{st}$ survey year the risk of waist circumstances was higher in the high white rice consumption group and also had high risk with hypertriglyceridemia. Since the lower white rice consumption in $4^{th}$ than $1^{st}$ survey year we found no significant results. But in the 6th survey year with the lowest white rice consumption the risk of high diastolic pressure was reduced in high group. Because continuously reduced white rice consumption meantime showed more intake of meat and oil, it can be concluded that defensive effects with the Korean health.

Effects of Aquarobics on Metabolic Syndrome and Health Fitness in Abdominally Obese Elderly Women (아쿠아로빅 운동이 복부비만 노인여성의 대사증후군 및 건강체력에 미치는 영향)

  • Park, Young-Ah;Kim, Dong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5180-5188
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    • 2015
  • The purpose of this study was to investigate the effects of a 12-weeks aquarobics on metabolic syndrome risk factors and health fitness in 25 abdominally obese elderly women. As the results, while waist circumference(87.40/82.76cm, p<.01) decreased, HDL-C(41.13/45.42mg/dl, p<.05) increased after the exercise program. Blood pressure and TG, however, decreased with no significance. And while muscle strength increased(17.06/19.08kg, p<.05), the increase in flexibility, muscle endurance, and cardiopulmonary endurance and the decrease in body fat showed some positive effects of the exercise program. In conclusion, we found that the aquarobics improves the aging-induced deterioration in the muscular skeletal function by lowering abdominal obesity and improving metabolic syndrome and physical fitness for health. In addition, the aquarobics can be an effective alternative to an aerobics or a resistance exercise on the ground.